174719 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE i
CONSTRUCTION ESTIMATE
ELECTRICAL FEE'S
DBL.
PLUMBING FEES
TOTAL FEES �.
l t FI.
2nd F L
Par. � kSq.
}-'
Gar. .
Car P.
Wall
3q. Ft. ( StJ
FEE
NO.
{f
NO.
Sq. Ft. @
Ft- @
`—v
Sq. Ft. @7_r i 7S` POLES
i
�
Sq. Ft. @ &IONS DRAINAGE PIPING
l:
TRANS. AND/ DRI N'KING;'FOVNS'A IN
Sq: Ft. @ - OR T. CLK.
Sq. Ft. @ - - MOTOR H. P. URINAL
MOTOR k. P. WATER PIPING%
-'
ESTIMATED VALUATION '$
.2
/
MOTOR H. P.
i . hl' .. . A _ ..M - j J; . ,A _, S I,
j F M q M J :1- 'A '6
FLOOR DRAIN
.2
MECHANICAL FEES
MOTOR H. P,
U 9E Ir
WATER'SOFTENER
OWNER
VENT SYSTEMAN ❑ EVAP. COOL OOD
MOTOR' H. P.
I 3A21.
WASHER(AUTO) DISH)
APPLIANCE
FIXTURES
GARBAGE DISPOSAL.
�0
FURNACE ❑ UNIT ❑'WALL ❑, FLOOR .❑ SUSPENDED
F�
OUTLETS
LAUNDRY'TRAY
AIRAANDL.ING UNIT
SUB -PANEL
CO U.
K'ITCH'EN SINK
F. C.
GAS PIPE 13 N'ATU RAL ❑ L.P.G. 13OIL
TION F LCE
MECHANI,CA.L FEE
:- -r
WATER CLOSET
p�
COMPRESSOR NPG
C
RANGE ANDLOR OVEN
-
LAVATORY
TV PE
APPLIANCE VENT
WATER HEATER
SHOWER
ABSORPTION SYSTEM, B.T.:U.
r
SPACE HEATER'
BATH TUB
iINCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
-
CONSTRUCTION POLE,
ELECTRICAL FEE '$ �-
WATER 'HEATER-
PS V
HEATING SYSTEM WORCFD ❑ GRAVITY
- �T
SERVICE ENTRANCE f
d
SEWAGE DISPOSAL
cv 1
BOILER :B..T.U.
FINAL DATE
'RESID. 1'0 SO. FT.
µ
PLUMBING FE.E $ cf -�•
HOUSE. SEWER
.PERMIT FEE
'' GARAGE' 1'4 SQ, FT.
,�l.�
-�h
GAS PIPING
TOTAL FEES
!d r�
PERMIT 'FEE
PERMIT FEE
v
PE MIT N, MBE R
DBL.
TOTAL FEES �.
HEAT 6' VENT,FEE•
PLN. CK. FEE
FEE
E GEC'. FEE PLUMB. FEE
{f
IREN.',
�-
`—v
a 70"
J,CONST.
a'
:� 34 3 �
,"
i . hl' .. . A _ ..M - j J; . ,A _, S I,
j F M q M J :1- 'A '6
`OI :IN. O _
O �N D
'SET BACK
LqT SIZE
U 9E Ir
JOB. ADOR'E/'S}S�y ,p/� �y �r
OWNER
IR
I 3A21.
12
ZONE -
USE OF BUILDING t DATE
F�
PLAN CHECK FEE $�
,-�
CHECKED BY
CO U.
F. C.
S.AL
TION F LCE
MECHANI,CA.L FEE
:- -r
13
C
�O
- sFJOISTRICT
-
G UP
TV PE
L ,, , L DES.0 .6P—r. +'
PERMIT NUMBER
CONSTRUCTION FEE $ r-
r
17
SPEC. ,iNSP.
-
SUPP. TO PERMIT
ELECTRICAL FEE '$ �-
PLAN CHECKER
BOND �';
BOND
CASH
PLAN FILE
FINAL DATE
INS CTOR
µ
PLUMBING FE.E $ cf -�•
I
5
TOTAL FEES
THIS
I 8 1 O T COMMENCED
WITHIN 0 S SHALL ALSO
DAYS. CESSATION OF WORK FOR 120DAY
CAUSE PERMIT TO BECOME VOID,
I HEREBY AGREE THAT ALL WORK. IN CONNECTION WITH THIS
.CASH C.HECX M.,0. N.C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -
6/7
COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
s
T
LL
7'
P /�
CARRY COMPEN'SATI'ON INSURANCE UPON MY EMPLOYEES. COMPLI=
AN.C'E WITH'LAW$ OF THE STATE OF CALIFORNL COVERING CON -
NAME OF CONSTRUCTION LENDERCOAC
TRACTORS 1S ALSO GUARANTEED.
s�
BRANCH OFFICE}�`
OWNER.
(�
CO_NTR TOR_
,}
noo,REss. PALM SPRINGS BRANCH
/ISACJlJ.11 _v
•
ADORES.
ADDRffESS
.NO- I� STATE
* �/^
p �i
('� // `` {{``
0 qs8
NO .L ENDER INVOLVED
- ..
I1Ci-FI -
INFORMATION
--
W& d.t Fy 0
ji
4 �JiW,sx x?4- ^ � 1 -r -
'TEL. NO. I
TEL.
EC!I
j�;'14 4oi
'8'4-206, 12/68— y
LICENSE NO.